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1760083851
THOMAS JAMES DESIMONE
LARAMIE, WY
NPI
1760083851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY 151)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
THOMAS JAMES DESIMONE MS, ATC, LAT, PES
1000 E UNIVERSITY AVE DEPT 3414
LARAMIE, WY 82071-2000
Phone number: 307-766-2060
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Mailing Address
THOMAS JAMES DESIMONE MS, ATC, LAT, PES
221 HACIENDA CT
CHEYENNE, WY 82007-1329
Phone number: 203-448-6531
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